Organization
REGINA M MELLEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MELLEN CRNA (OWNER)
(800) 821-6993
Entity
Organization
Contact information
Practice address
6262 S SHERIDAN RD, TULSA, OK 74133-4055
(800) 821-6993
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/18/2016
Last updated
04/26/2018
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